Mastitis in Traditional Chinese Medicine

Understanding different mastitis patterns according to TCM theory

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Overview
What causes it 4 TCM patterns documented
How to recognize Symptoms specific to each mastitis pattern
Classical remedies 8 herbal formulas documented

Traditional Chinese Medicine (TCM) approaches mastitis not just as a localized infection but as a symptom of imbalance within the body's energy, or Qi. It is seen through the lens of Qi Stagnation, Heat, and Phlegm, affecting the smooth flow of energy and fluids in the breast tissue. TCM practitioners seek to identify the unique pattern of disharmony causing the issue, as treatment is tailored to the individual's specific imbalance to restore harmony and health.

TCM Patterns for Mastitis

Each pattern represents a distinct underlying imbalance that can cause mastitis

Qi Stagnation

Liver Qi Stagnation

Symptoms 15
Formulas 1

Diagnostic signs

Pulse

Wiry (Xian)

Tongue

Normal or slightly red on the sides

Accompanying symptoms you may experience

Hypochondriac distention Chest distension Upper abdominal distension Abdominal distention Sighing Melancholia Depression Mood swings

Understanding this pattern

If a nursing mother is easily impacted by anger and her emotions are repressed, her Qi will rebel upwards and stagnate in the Liver, which connects to the nipples through the Liver Channel. This leads the milk ducts or nipple orifices to clog, milk cannot come out and thus forms lumps or nodules in the breasts. The nursing mother feels swelling and hardness in the breasts and a strong sharp pain during breastfeeding. Sometimes, only one of the breasts' nipples are clogged and it leads to an uneven milk supply. 

If Liver Qi does not flow properly for a while and it is left untreated, it accumulates toxic Heat that can transform into blisters, abscesses and pus discharge. Fever often comes along in this situation.  

The formula Unblock Nursing Tea is recommended because it contains herbs ideally suited to fight this pattern. The treatment principle is to invigorate Qi and Blood (Unblock Nursing Tea contains the herbs Dong Quai and Platycodon which are ideal for this), to expel Heat and toxins (Dandelions, Honeysuckle flowers and Chrysanthemum flower), pacify the Liver (Goji berries) and clear pus (Angelica root).

Another important point is that during breastfeeding, the nursing mother is recommended to massage the breast lumps or nodules to soften them. As home remedies, she can apply hot pad right before the feeding to speed up the milk flow and apply cold pad to ease pain when necessary. She is highly encouraged to breastfeed or pump more often so as to ease the breast engorgement and clogged milk duct.

Recommended herbal formulas

Diagnostic signs

Pulse

Empty (Xu), Tight (Jin)

Recommended herbal formulas

Symptoms 10
Formulas 1

Diagnostic signs

Pulse

Floating (Fu), Slippery (Hua)

Accompanying symptoms you may experience

Toothache Headaches Loose teeth Bleeding gums Irritability Thirst Stomatitis Periodontitis

Recommended herbal formulas

Formulas 1

Diagnostic signs

Pulse

Rapid (Shu), Slippery (Hua)

Recommended herbal formulas

Toxic-Heat

Toxic-Heat

Formulas 3

Diagnostic signs

Pulse

Rapid (Shu)

Tongue

Red tongue with yellow coating

Herbal Formulas for Mastitis

Traditional Chinese Medicine formulas used to address mastitis

Gua Lou San

Addresses these mastitis patterns:

Qi Stagnation Heat

Tuo Li Xiao Du San

Traditional formula for mastitis

Da Huang Mu Dan Pi Tang

Traditional formula for mastitis

Er Qing Gao

Traditional formula for mastitis

Shi Wei Bai Du San

Traditional formula for mastitis

Si Ni San

Traditional formula for mastitis

Wu Wei Xiao Du Yin

Traditional formula for mastitis

Xiao Chai Hu Tang

Traditional formula for mastitis